Household composition after resettlement and emotional health in adolescent migrants

Orjuela‐Grimm, Manuela; Martí, M. Antònia; Bhatt-Carreño, Silvia; Castro, María Mercedes Taboada; Restrepo, Arango; Pinilla, Hector; Rodríguez, Daniela; Ruiz, A.; Valentin, Michelle; Levine, Arielle Richey; Gonzalez, Rossmary; Zuleta, Marisa; Pharel, Marisa; Medina, Paola; Lewis‐Fernández, Roberto

doi:10.1016/j.jmh.2022.100103

Cited by 8 publications

(5 citation statements)

References 29 publications

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“…In contrast, a poor family environment or relationship may play an important role in the psychosocial ill health of refugee children and adolescents. 15 Moreover, consistent with previous research, 36 the present study also found that good school achievement or engagement was negatively associated with SDQ total difficulties among refugee children and adolescents. These results might be explained by the fact that apart from family, school is the primary living environment and source of support for refugee children and adolescents and plays a vital role in enhancing psychosocial adaptation and well-being in resettled young refugees.…”

Section: Discussionsupporting

confidence: 92%

“…Nevertheless, for both child and adolescent refugees, the family was usually the primary source of support, which may enhance the adaptation of the children’s new life in their host countries. In contrast, a poor family environment or relationship may play an important role in the psychosocial ill health of refugee children and adolescents . Moreover, consistent with previous research, the present study also found that good school achievement or engagement was negatively associated with SDQ total difficulties among refugee children and adolescents.…”

Section: Discussionsupporting

confidence: 90%

“…9 The resettlement process for children and adolescents can be quite gradual, not only because of the challenges of complex legal immigration processes but also the challenges of sociocultural adaptation to enormous cultural, social, and linguistic differences. 9,10 Several multidomain factors in dispersive studies, including those related to the individual (child and caregiver), 4,7,[11][12][13] family (eg, family structure or family relationship), 14,15 school (eg, school adaptation or peer support), 16,17 and community (eg, social relationships or social integration) 18,19 contexts, have been reported to be associated with psychosocial health in refugee children and adolescents. The susceptibility to premigration and postmigration stressors and protective systems affecting the resilience of children and adolescents might be slightly different.…”

Section: Introductionmentioning

confidence: 99%

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Characterization of Premigration and Postmigration Multidomain Factors and Psychosocial Health Among Refugee Children and Adolescents After Resettlement in Australia

Guo

Li²,

et al. 2023

JAMA Netw Open

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ImportanceA better understanding of the psychosocial health of resettled child and adolescent refugees and associated premigration and postmigration factors may help this population integrate effectively.ObjectiveTo estimate the associations of premigration and postmigration multidomain factors with psychosocial health after resettlement among young refugees of different ages.Design, Setting, and ParticipantsThis cross-sectional study used wave 3 data from the Building a New Life in Australia (BNLA) cohort study, as they represented the first time a BNLA study included a child module targeting children and adolescents in the migrating unit as a nested component of the broader study. The study population consisted of children aged 5 to 10 years and adolescents aged 11 to 17 years. The caregivers of the children, the adolescents themselves, and the adolescents’ caregivers were invited to complete the child module. Wave 3 data were collected from October 1, 2015, to February 29, 2016. Statistical analysis was performed from May 10 to September 21, 2022.ExposuresPremigration and postmigration multidomain factors, including individual (child and caregiver), family, school, and community levels, were measured.Main Outcomes and MeasuresSocial and emotional adjustment and posttraumatic stress disorder (PTSD) were the dependent variables measured by the Strengths and Difficulties Questionnaire (SDQ) and an 8-item PTSD scale. Weighted multilevel linear or logistic regression models were used.ResultsOf the 220 children aged 5 to 10 years (mean [SD] age, 7.4 [2.0] years), 117 (53.2%) were boys; of the 412 adolescents aged 11 to 17 years (mean [SD] age, 14.1 [2.0] years), 215 (52.2%) were boys. Among the children, compared with no exposure, exposure to premigration traumatic events (β = 2.68 [95% CI, 0.51-4.85]) and having family conflicts after resettlement (β = 6.30 [95% CI, 2.97-9.64]) were positively associated with SDQ total difficulties score; school achievement was negatively associated with SDQ total difficulties score (β = −5.02 [95% CI, −9.17 to −0.87]). Among the adolescents, being treated unfairly (β = 3.32 [95% CI, 1.41-5.22]) and parenting harshness after resettlement (β = 0.25 [95% CI, 0.11-0.40]) were positively associated with SDQ total difficulties score; engagement in extracurricular activities (β = −3.67 [95% CI, −6.83 to −0.50]) was negatively associated with SDQ total difficulties score. Exposure to premigration traumatic events (adjusted odds ratio [aOR], 2.49 [95% CI, 1.10-5.63]), being treated unfairly (aOR, 3.77 [95% CI, 1.60-8.91]), and facing English language barriers (aOR, 6.41 [95% CI, 1.98-20.79]) after resettlement were positively associated with the presence of PTSD.Conclusions and RelevanceIn this study of refugee children and adolescents, apart from premigration traumatic experiences, several postmigration family- and school-related factors and social integration factors were associated with psychosocial health after resettlement. The findings suggest that family- and school-centered psychosocial care and social integration programs targeting related stressors merit increased attention for improving the psychosocial health of refugee children and adolescents after resettlement.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Characterization of Premigration and Postmigration Multidomain Factors and Psychosocial Health Among Refugee Children and Adolescents After Resettlement in Australia

Guo

Li²,

et al. 2023

JAMA Netw Open

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“…Researchers at Columbia University conducted interviews with 46 immigrant youth who arrived in the United States as unaccompanied minors and were able to remain in New York City. They looked at the factors that contributed to their levels of resilience [15].…”

Section: Resilience Of Immigrant Populations: Studiesmentioning

confidence: 99%

Immigrant Colombian Women in the USA: Examining Adversity, Resilience, and Social Networks

Madrigal,

Madrigal

2024

JSWWP

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Immigration, involving departing from one's homeland and arriving in a host country, can profoundly influence an individual's psychosocial well-being. It encompasses phases marked by substantial changes, stress, family disintegration, and subsequent reintegration. This journey may lead to family breakdown and frequently involves adversity. Adapting to a fresh life in a new nation presents numerous challenges and necessitates sacrifices [1,2]. As a result, immigrants are highly susceptible to mental health issues [3-5]. Understanding immigration requires examining adaptation, integration modes, influencing circumstances, and shaping factors. Multiple theories contribute to exploring this complex phenomenon. Resilience, a trait inherent in individuals that enables them to effectively navigate psychosocial challenges in the face of adversity [6,7], is a vital concept to investigate concerning immigrants' adjustment to their new environment.

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“…Young adolescents with an immigration background represent a group of special concern, as they rarely choose to move, but may suffer from their families' experience of unemployment and poverty, discrimination, stress over adaptation to the host society [7,9,10], and, sometimes, separation from their parents [5]. All these factors have been included in the 'social stress' framework, according to which critical stressful life events at a young age, such as involuntary migration, could predict higher depressive symptoms, lower perceived well-being, increased smoking and binge drinking during adolescence, sometimes persistent in adulthood [2,[11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Who Stays, Who Moves on and the Host Population: A Picture of Adolescents’ Perceived Well-Being and Risk Behaviours

Charrier¹,

Comoretto²,

Bersia

et al. 2023

IJERPH

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The study aims to evaluate the health profile of first- and second-generation Romanian immigrants living in Italy compared to their adolescent peers in the country of origin (Romania) and the host population (Italian-borns). Analyses were performed on the 2013/2014 Health Behaviour in School-aged Children (HBSC) survey data. Romanian natives showed lower levels of health complaints and higher life satisfaction than Romanian migrants, who were similar to the host population, especially the second-generation ones. A comparable prevalence of being bullied was registered among Romanians, both native and immigrant, with significantly lower levels among Italian natives. Bullying others showed the second-generation migrants share a similar prevalence with the host population. The prevalence of liking school a lot was three times higher among the Romanian natives than among their peers living in Italy. Thanks to the HBSC data, this study is the first to examine the health of adolescent migrants from both the perspective of the host country and the population of origin. The results highlight the need for a more nuanced approach to studying immigrant populations, taking into account both the host country’s perspective and the health patterns of the population of origin.

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Household composition after resettlement and emotional health in adolescent migrants

Cited by 8 publications

References 29 publications

Characterization of Premigration and Postmigration Multidomain Factors and Psychosocial Health Among Refugee Children and Adolescents After Resettlement in Australia

Characterization of Premigration and Postmigration Multidomain Factors and Psychosocial Health Among Refugee Children and Adolescents After Resettlement in Australia

Immigrant Colombian Women in the USA: Examining Adversity, Resilience, and Social Networks

Who Stays, Who Moves on and the Host Population: A Picture of Adolescents’ Perceived Well-Being and Risk Behaviours

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